Search results
Results from the WOW.Com Content Network
Jimmy Carter signs Medicare-Medicaid Anti-Fraud and Abuse Amendments into law. The Office of Inspector General for the U.S. Department of Health and Human Services, as mandated by Public Law 95-452 (as amended), is established to protect the integrity of Department of Health and Human Services (HHS) programs, to include Medicare and Medicaid programs, as well as the health and welfare of the ...
Stark Law is a set of United States federal laws that prohibit physician self-referral, specifically a referral by a physician of a Medicare or Medicaid patient to an entity for the provision of designated health services ("DHS") if the physician (or an immediate family member) has a financial relationship with that entity.
John Gorman, a former Medicare official and founder of two companies that review records and conduct home visits on behalf of Medicare insurers, doesn’t think the changes will actually fix the ...
Insurance fraud has existed since the beginning of insurance as a commercial enterprise. [4]Long before the rise of the modern insurance industry, an epigram by the Roman poet Martial, set in the Roman Empire during the first century AD, illustrates how crimes such as arson might be motivated by profit: [5]
Supplemental insurance: Options for purchasing additional coverage for services not included in Medicare. Prescription drug reform: Cap profits for drug and insurance companies.
During his administration, Medicare Fee-For-Service improper payment rates declined modestly as the Centers for Medicare & Medicaid (CMS) led efforts to identify causes of improper payments and ...
The Zone Program Integrity Contractor (ZPIC) is an entity established in the United States by the Centers for Medicare & Medicaid Services (CMS) to combat fraud, waste and abuse in the Medicare program.
Each part of Medicare covers an aspect of substance use disorder treatment. Read more to learn about the costs and what’s covered.